| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,290 |
9,265 |
$1.23M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
795 |
732 |
$101K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
799 |
649 |
$81K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
134 |
126 |
$48K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
341 |
330 |
$41K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
116 |
110 |
$10K |
| 80053 |
Comprehensive metabolic panel |
116 |
84 |
$2K |
| 80047 |
|
626 |
570 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$540.00 |
| J3490 |
Unclassified drugs |
4,024 |
2,501 |
$263.58 |
| 81003 |
|
318 |
297 |
$130.12 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
814 |
721 |
$42.26 |
| 81002 |
|
86 |
41 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
65 |
55 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
315 |
295 |
$0.00 |
| 81025 |
|
15 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
81 |
56 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
166 |
148 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
42 |
37 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
21 |
13 |
$0.00 |